| Prescott Primary Care | |
|
1000 Willow Creek Rd Ste B Prescott AZ 86301-1645 | |
| (928) 778-4371 | |
| (928) 771-8447 |
| Full Name | Prescott Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 Willow Creek Rd Ste B, Prescott, Arizona |
| Authorized Official Name and Position | Lynn L Reichle (OWNER/CEO) |
| Authorized Official Contact | 9287784371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prescott Primary Care 1000 Willow Creek Rd Ste B Prescott AZ 86301-1645 Ph: (928) 778-4371 | Prescott Primary Care 1000 Willow Creek Rd Ste B Prescott AZ 86301-1645 Ph: (928) 778-4371 |
| NPI Number | 1134301054 |
|---|---|
| Provider Enumeration Date | 12/03/2007 |
| Last Update Date | 11/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134301054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20371 (Arizona) | Primary |
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